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0110 SKATING RINK ROAD
�w 3S OL f �tHETn..� TOWN OF BARNSTABLE Building Application Ref: 201102843 sARNSTASLE, Issue.Date: 06/06/11 Permit 9 MASS. �A i639• Applicant: TONELLO�JEFFREY R rFG MAC a Permit Number: B 20111139 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/04/11 Location 110 SKATING RINK ROAD Zoning District RB Permit Type: RESIDENTIAL INSULATION Map Parcel 291171 Permit Fee$ 35.00 Contractor TONELLO,JEFFREY R Village HYANNIS App Fee$ 50.00 License Num 53202 Est Construction Cost$ 3,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND WEATHERIZATION,AIR SEALING, SILL INSULATION, THIS CARD MUST BE KEPT POSTED UNTIL FINAL WALL INSULATIO INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: NORTON,IENNIFER A TRS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 110 SKATING RINK ROAD INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT30 OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER::TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDERxTHE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE FROM THE DEPARTMENT,OF"PUBLIC WORKS. THE ISSUANCE OF THISPERMIT DOES NOT;RELEASE THE APPLICANT FROM THE,CONDITIONS OF•ANY,APPLICABLE SUBDI--VISION@-RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). p� ® B � t BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map z.� Parcel l Application # Health Division Date Issued Conservation Division Application Fee o. Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address \ Village � .-s Owner .Z r Address Telephone Permit Request t z to N A N. a Z S Ea` N)',3 C_ ar . t o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation '3 oon- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0"' Two Family ❑ Multi-Family (# units) Age of Existing Structure t S-4( Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing k new Half: existing k new Number of Bedrooms: 3 existing —new Z .R Total Room Count (not including baths): existing c0 new First Floor Room Count Q Heat Type and Fuel: ❑ Gas Zrbil ❑ Electric ❑ Other C> Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood%coal stove: U.-Yes ❑ No :l Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing:==0 new:, size_ - Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size Other: ' 171 rn Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Corr;mercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use F� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name t c> Telephone Number So"? Address o o > >c a License # S 3 z© Z Home Improvement Contractor# Worker's Compensation # we,-3 t a- 13 o Z 3-03� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 3gZ4 W�A bLS L SIGNATURE DATE FOR:OFFICIAL USE ONLY APPLICATION# • DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER S DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 1 i PLUMBING: ROUGH FINAL F 1 GAS: ROUGH FINAL FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. t r ° O JS LNL• 60 West Main Street Jliyanr_is, INLA G260.1- 6-98 ., S I IS ThT OL El'JEItGY HOME REPTA R � s T 1508 ; 771-5 400 (508) 79 0- 0 RL'OR_AT I O < 1 ,b HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: r PLEASE FILL OUT AND SIGN THISFORM IF YOU ARE THEAPPLICANT HOMEOWNER. I 13 ,E j N i r�C ;�����C. ;; hereby consent to and agreefhat weatherization work may be done by the Weatherization Program of H ousing Assistance Corporation (herein after referred as "Agency") on the property �y located at: I SI`i4 t'i� jj1 1 M The weatherization work done wilI be based on programmatic priorities and availability of funding and it may include all or someof thefollowing measures: Weather-stripping& caulking of windows and doors, insulation of attics, sidewalls& basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be done at my home I agree to the following: 1. 1 give permission to the"Agency," its agents,and employeesto travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. 'The Housing Assistance Corporation reservesthe right to inspect the fuel or utility bill for the weatherized unit on an ongoing bass for no more than five(5) years after theweatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: (Signature)' ,Y,._ `. Vla Date: ? z " �. Agent:(signature) " -- Date: -r HAC.approved Weatherization Company Caliber Building&Remodeling Cape Cod Insulation Cape-Save Creswell Construction Frontier Energy Solutions Lohr& Sons Peter,Smitli esolution Energy Rock Solid Construction Sprinkle Home Improvement The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street F Boston, MA 02111 www.mass.gov1dla Worker's compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: 'A City/State/Zip: Phone#: A yv Are you an employer?Check the appropriate box: Type of project(required): 1. Ea I am a employer with 3 4.❑ I am a general contractor and I have 6. ❑ New construction employees(full and/or part-time).* hired the sub-contractors listed on 7. ❑ Remodeling the attached sheet.$ 2. ❑ I am a sole proprietor or partnership These sub-contractors have 8• ❑ Demolition and have no employees working for employees and have workers' comp. 9. Building addition me in any capacity.[No workers' insurance.$ 10. ❑ Electrical repairs or additions comp insurance required.] 5.❑ We are a corporation and its 11. Plumbing repairs or additions officers have exercised their right of ❑ 3• ❑ I am a homeowner doing all work exemption per MGL c. 152§(4),and 12. Roof repairs myself. [No workers' comp. we have no employees. [No workers' 13. Other insurance required.] t comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name: c ` .-. —3—►�S Policy#or Self-ins.Lic.#: CZ-S S' 3 C%Z3 -d 101__ - Expiration Date: C' 3- V% Job Site Address: I 9 K a m C, City/State/Zip: R+ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do eAZ�under the-pa' s a enalties f perju ;that the information provided above is true and correct. Signature: Date: 3 Phone#: o ��p Official use only.Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ti jy ,Y� ACORD CERTIFICATE OF LIABILITY INSURANCE 09�uL01 THIS CERTIFICATE IS 'ISSUED AS A MATTER .OF INFORMATIOI` NO RIGHT PRODUCER (7B1) 344-8578 ONLY AND CONFERS. S UPON THE CERTICATE DOES NOT AMEND, ND f O I C.L. Hollis Insurance Agency Inc HOLDER. IS CE4GEAFFORDED BY THE POLICIES BELOWLTER . 27 Glen Street Stoughton MA 02072- INSURERS AFFORDING COVERAGE NAIC# INSURER A:LIBERTY MUTUAL INSURED RESOLUTION ENERGY INC- INSURERa p,I,I,MERICA INSURANCE 43 Fieldwood Drive NsuRERc: PO BOX' 14 90 — SacTamore. Beach MA 02562- wsuRERE: COVERAGES ISTED HE POLICIES OF INSURANCE C R CONDITION OF AONtY HAVE BEEN ISSUED TO THE INSUED NAMED CONTRACT OR OTHER DOCUMENT WITH RESPECOT TO WHICH THIIS FOR THE ICERTIFICATE MAY BE ISSUED OR MAY PERTA THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICII AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS INSR ADD'L TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YY) - DATE(MM/DD/YY): LTR INSRD EACH OCCURRENCES — GENERAL LIABILITY DAMAGE TO RENTED $ PREMISES Ea occurrence COMMERCIAL GENERAL LIABILITY / / _ MED EXP(Any one person). CLAIMS MADE OCCUR _ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE GOT LOC 02/27/2010 02/27/2011 COMBINED SINGLE LIMIT $ 1,000,� $ AUTOMOBILE LIABILITY AWN5092655 (Ea accident) ANY AUTO / / � BODILY INJURY $ ALL OWNED AUTOS - (Per person) X SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (Per accident)- NON-OWNED AUTOS PROPERTY DAMAGE- $ (Per accident) AUTO ONLY-EA ACCIDENT $ GARAGE LIABILITY OTHER THAN EA ACC S __— ANY AUTO AUTO ONLY: AGG S EACH OCCURRENCE $ EXCESSIUMBRELLA LIABILITY AGGREGATE S OCCUR ED CLAIMS MADE S DEDUCTIBLE g RETENTION $ WC STATU- OTH- A WORKERS COMPENSATION AND WC2-31S-370523.-039 09/02/2010 09/02/2011 TORYLIMITS ER EMPLOYERS'LIABILITY - E:L.EACH ACCIDENT S '�OO,. ANY PROP RIETOR/PARTNER/EXECUTIVE 500, OFFICER/MEMBER EXCLUDED? E.L.DISEASE-FA EMPLOYEE$ 500, If yes,describe under E.L.DISEASE-POLICY LIMIT S _ SPECIAL PROVISIONS below OTHER . . DESCRIPTION OF OPERATTONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS NATIONAL GRID CORPORATE SERVICES LLC DBA NATIONAL, GRID, ACTION INC. , COLONIAL GAS COMPANY AND N-STAR ELECTRIC ARE LISTED AS ADDITIONAL INSUREDS. CERTIFICATE HOLDERCANCELLATION ( ) — (506) ,790-2425 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T ATTN: MIFM EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO M. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,E HOUSING ASSISTANCE CORP FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON 1 460 WEST MAIN STREET INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 4 HYANNIS MA 02601-3698 ©ACORD CORPORATION" ACORD 25(2001/08) Page INS025(0108).05 ELECTRONIC LASER FORMS.INC.-(BDO)327-0545 a DIV151 11 - Massachusetts- Department of Public S tfetN — Board of Building Regulations imd St tnd trtls � '� I Construction Supervisor LicenseOfticeofConsumerAffairs&BusinessRegulation (n ( HOME IMPROVEMENT CONTRACTOR j License: CS 53202 Registration 162158 Type: i Restricted to: W... 1 � Expiration 1126/2Q13 Individual JEFFREY R" TONELLO ' JEFFREY R.TONBLL-Q I _ PO BOX 1516; j SAGAMORE 3EACH MA 02562 JEFFREY TONELLO 60 STATE RD. SAGAMORE BEACH;'MA 02562 Undersecretary Expiration: 7/14(2011 i Tr,#: 19157 C nuniciner s } TOIy jSL � i;. Restftte'd to: 00 - Uresiricted -1 2]Family Homes 1. ailure to possess a current edition of the [assachusetts State Building Code cause for revocation of this license. efer to: WWW.Mass.Gov/DPS d r 1 Town of Barnstable oF'THE t� Regulatory Services Thomas F.Geiler,Director i Building Division sARNSTA13M MASS Tom Perry,Building Commissioner i639. v p 200 Main Street, Eo�,�, t, Hyannis,MA 02601 www.town.barnstable.ma.us ffice: 508-8624038 Fax: 508-790-6230 Approved: Fee: d� Permit#: HOME OCCUPATION REGISTRATION Date: ?XPyCos- Name: r-aliGe7U°.1-1 Phone#: 5CE N . Address: ��Q /' �%N�/�'�4� G�� Village: � -eE u tame of Business: F � KN�/�/ r--- - Type of Business: Map/Lot: CD INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupa 'on within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the r activity$hall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual co rn alteration to the premises which would suggest anything other than a residential use;no increase in traffic above no residential volumes;and no increase in air or,groundwater pollution. , After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. ,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. 1pphcant• ate: iomeoc.doc Rey.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: Fill in lease: . p .,� ,APPLICANT'S :�`" YOUR NAME: BUSINESS YOUR HOME ADDRESS: TEL EPHONE - - Telephone Number Home ®8 0 NAME OF NEW BUS INESS YES TYPE OF BUSINESS �N N l( CB !S THIS A HOME OCCUPATION? YES N . Have you been given approval from the building division. YE L.No H Y 9 pp NUMBE;✓� Q p _ ADDRESS OF BUSINESS ,li%�ti��1t .G1�1 Oo2�r� MAP/PARCEL When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of you may need. Once you have obtained the required signatures, listed This form is intended to assist you in obtaining the informationy y Y Barnstable. below,you may apply for a business certificate at the Town Clerk's Office fist floor-Town Hall). You MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corn of Yarmouth Rd.S Main Street)and you will find the following offices: 9. BUILDING CO SIO R'S OF This individual h info ed of an equir ments that pertain to this type of business. Autho ed Signatureten COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: es cost 30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. certificates $ )BusinessY ( of the processes from the various departments involved. -i e you permission to operate-you must get that through completion p t does not give y p p Y **SIGNIFIES APPROVAL FORA BUSINESS CER'TIFICATE DNL Y. r f• Assessor's map and lot number �91,. .1.../.../. SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE WITH ARTICLE II STATE Sewage Permit number .... � ��/�`.`5�.....• SANITARY CODE AND TOWN F R /� R REEGUULATIO/N�S.TOWN OLrlld:l \ STAILE Z BABHSTABLL "6 q 0 y a.��� RUILUNG INSPECTOR pY s APPLICATION FOR PERMIT TO .C�'��!!l�• . .�:........ .. ..........................�:a'"5�...�................. TYPEOF CONSTRUCTION ....... ....... .:..G.�..... ...'. ............................. .......................................... .... ... .. ........197 TO THE INSPECTOR OF BUILDINGS: The undersignedVhhe�by applies for a permit c rding to the followi information�. . . ..... . . ...Location ........C ........... .. '�/. . ProposedUse ......... ........... .................`:�_. ..................................................................... Zoning District ...... ................................................:.......,.........Fire District ................... .....�............ � ��� ♦ ,/ 'j Name of Owner/,/...'�v�...,���G................................::.Address ../ ...... ... .. 69 , // ` Nameof Builder ..... ...................:�................X e...................Address .......................................................................... ....... Nameof Architect ..................................................................Address .................................................................................... Foundation ... ....... Number of Rooms ................... ....................... d .............................. .......................... ` ......�.. ........Roofng 777�. ........... ' '........Exterior . ..... ..... ' Interior . . . ... .. !Floors .... . .........�..�...... Is�®L/ � 1�.•.Heating .......... .. .......... ......�. ..................Plumbing .................................................................................. Fireplace ......-...........................................Approximate Cost ............ ... .... ..... . Definitive Plan Approved by Planning Board ________________________________19________. Area ......� .. .......... ... .24— ................... Diagram of Lot and Building,with Dimensions Fee .. �— ..... .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable ga ing the above construction. Name /..Cl.. .. .. .. .......................... .�............... ............... Franco IemsI Estate Deve&opment Corp Inc4 ^ ' \ 18702 ~-� `` two story, Not......... ....... Permit for .................................... � � single family dwelling � --~-------------------'---''' /h L/ �ka �ink 0mad _ _-__ '--------------------- w ------.-------------------.. � Franco Real Estate DevelopmentCo. , �� ' Owner -----_____________..^ � ^ ° ^ ' frame Type of Construction -------------- � ...............,................................................:............' Plot ------___. �» .....#20_______ � � ' September 28 76 Permit Granted - ` ----'—'lg Date of Inspection .�� L—lP Date �mp'~'=" � = `— l�,, 71 � ' ' - ' . � PERMIT REFUSED i � ---'_—,--.-----_------.. lA ' \ -----..--------------------.. � \ / ^------.-----------.--------.. . . / .,.'------------.—.--,.—..----. / ^-----------------'---'--^—^'' > ~ Approved ---------------.. lA ^ � / ^ ' -------'----------^----~--^'' -------------------.—~~---- � � � Assessor's map and lot number ................'........................ Sewage Permit number U�" �G S� °`?"ET TOWN OF BARNSTABLE V i MARNSTABLE, i "b 9 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ( . �.. ... TYPE OF CONSTRUCTION '' ........ ............................................................ � .......19. ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:. f . ,�. ' Location ........: U .t'!f!.......... ~!t.� ..................... ........... ................................................ ......................... J f... ProposedUse .............. ...........:..... ........................,.......:........... r ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner f.!f! !t f s '�' �' :.Address ..: ' :f. ........L1i : -* / 6 //;9 I ��t✓ R Nameof Builder ..............................................-.r...................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .........I.........tom,..'.......................................Foundation ............................................................................. Exterior ../..:"" ...lr .a. �i .Roofing �!J,a...................................................11' f` .... r ... ... _ Y .. ........... .......... Floors /' ... ........_..!t- ? l.. .....................Interior .................................................................................... Heating r � f l/V ........Plumbing .................................................................................. ..... . .. ........... .s. .. . Fireplace ............. !I•. /1.._. Approximate Cost ............................................................ ........ Definitive Plan Approved by Planning Board __________________________ f 19 - Area :.:::...... ............................ Diagram of Lot and Building with Dimensions Fee `' � -� ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Franco Real Estate Development Co. , Inc. A=291-171 No 18702 `"" two story 1" ..... Permit for ..................o ..........,... single family dwelling ..........................................................I ........... ........ Loc+a'F..i n*Skating Rink Roa Hyannis Owner Fran.co. ..Real. . . ..Estate. . ..Development. . Co. , Inc.. ........ . .. .. . . .. .. . ......... ........ . .... Type of Construction frame ................................................................................ i #20 Plot ............................ Lot, ....................... Permit Granted ......SeQtember 28...... 19 76 ....... Date of Inspection ................ 19 Date Completed ......IkN,....... ................19 PERMIT REFUSED .........................................\ ...1. .. 19 ......................................... ` .. 7 .. ..... ?......... ............. , .� .......................... .................................................. ..' Approved ................................................ 19 ................................................ .................. . � v � r z,o ' 1 G`C8 iEAcri K'�T W I�STGM� TEST p�TJ�� /I' y�lo�� EX Pr,17�S10N yy�� CIA, L.� •V I `• S�PF�G TANK N _ ..mot_13 �FouK p. 4 a� Z x N ' 9J GSU � CERisFI�� PLOT PL&tA Lit � Loc/1,rlC, , HYA4NIS..MA55, 41CHAR4 c� Scia�. %"= 4Ci DATE 91Z3176 w BAXTES W t Nao PL/\ty R�F�RF t'IGE k�v sum NO. 14034 'A /c 4-R r/),:--y 71147 7-/1E B N x 7T E R � N Y E 1 N G. S/,oaVIV , DER "OAI CON,,c'o /-S Tc� 7;ov46 RE615'TSPEID LAND SURVEYORS Za/V//vG 1—oV111.; o.= Tl ° 7-oOWiV 0,= os7ER��1�E, MAss . 131o9le VS r/9,3 L ,